Wrong end of the stick

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| What of the impact of this inequality? It is difficult to argue, as the ADB report does, that inequality seriously compromises growth without explaining why China is growing faster than everyone else. Nor is the picture on malnutrition and stunting, as clear. India appears to have the highest levels of underweight children and sharper variations across income groups, but countries with a better record have both lower and higher levels of inequality. The real issue here may have less to do directly with inequality and much more to do with the effective delivery of public services. The figures show that immunisation levels are much lower in India than even Bangladesh; surely this has to do with the failure of India's public health programme. Similarly, the percentage of undernourished children in India is higher than in Bangladesh; it might be relevant here that the World Bank has pointed out that while India's Integrated Child Development Scheme (ICDS) focuses on supplementing food instead of on nutrition, and on children above the age of three, malnutrition sets in much earlier. If one turns to the UN Development Programme's Human Development Index, India has done consistently worse on sanitation (important from a health perspective) than many poorer countries. Income levels do make a difference, of course, but even if inequality in India had not gone up over the decade being reported on, the failures would have been there. |
| The primary issue of public concern must therefore be the government's failure to provide the basics in terms of public health, sanitation and nutrition support, causing India's indices to compare poorly against even a much poorer neighbour like Bangladesh. There is, all too often, sterile debate about whether markets or governments fail more often. The relevant point is that markets work better in some areas and in the right conditions, while in others it is only the government which can make a difference""especially when you are dealing with people who are mostly outside the scope of organised markets. What the numbers tell us is that, in the areas where the government should be focusing its efforts and making more of a difference, it is not doing so. |
First Published: Aug 10 2007 | 12:00 AM IST